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Psychotherapy and Psychiatry Visits in the United States: A Study of MEPS, 2017–2019

Michael E. Johansen and Kelsey Sicker
The Journal of the American Board of Family Medicine September 2022, jabfm.2022.AP.210503; DOI: https://doi.org/10.3122/jabfm.2022.AP.210503

Article Figures & Data

Figures

  • Figure 1.
    Figure 1.

    Proportion of population reporting psychotherapy and/or psychiatry visit during a year by age and sex, 2017–2019.

  • Figure 2.
    Figure 2.

    Proportion of population reporting psychotherapy and/or psychiatry visit by age and antidepressant/antipsychotic use during a year, 2017–2019.

Tables

  • Table 1.

    Demographic and Socioeconomic Characteristics of Individuals Reporting Psychotherapy Visit, Psychiatry Visit, and Antidepressant/Antipsychotic Medication

    Whole Population (n = 90,853)Psychotherapy Visit (n = 4,503)Psychiatry Visit (n = 3,279)Antidepressant/Antipsychotic (n = 9,859)
    % of population (95% CI)5.2 (4.9–5.4)3.6 (3.4–3.8)11.2 (10.8–5.4)
    Age (Median [IQR])38 [19, 58]34 [20, 51]39 [23, 57]53 [37, 66]
    Sex (% female, 95% CI)51.0 (50.6–51.4)60.1 (58.5–61.8)57.1 (55.1–59.1)68.3 (67.1–69.5)
    Health insurance (%, 95% CI)
     Any private67.4 (66.2–68.7)67.7 (65.1–70.2)59.9 (56.8–62.9)64.4 (62.6–66.1)
     Only public26.1 (25.1–27.2)30.1 (27.6–32.7)37.7 (34.9–40.7)33.3 (31.7–35.0)
     No insurance6.5 (6.1–6.9)2.2 (1.7–2.8)2.3 (1.7–3.2)2.3 (1.9–2.8)
    Race/ethnicity (%, 95% CI)
     White (non-Hispanic)59.8 (58.1–61.4)71.8 (69.7–73.9)68.2 (65.7–70.8)80.2 (78.9–81.5)
     Black (non-Hispanic)12.3 (11.4–13.3)9.1 (7.7–10.6)11.1 (9.6–12.8)6.2 (5.5–7.1)
     Hispanic18.4 (17.0–19.9)11.6 (10.3–13.2)13.4 (11.7–15.2)8.4 (7.5–9.4)
     Asian (non-Hispanic)6.1 (5.5–6.8)2.2 (1.7-3.0)2.7 (2.0–3.5)1.7 (1.4-2.2)
     Other3.4 (3.1–3.7)5.2 (4.4–6.2)4.5 (3.6–5.6)3.4 (2.9–4.0)
    Region (%, 95% CI)
     Northeast17.2 (15.2–19.4)21.9 (18.9–25.4)21.5 (18.3–25.2)17.2 (14.7–20.0)
     Midwest20.9 (19.3–22.6)24.8 (22.1–27.8)21.5 (19.0–24.2)25.3 (23.0–27.7)
     South38.0 (35.5–40.5)28.0 (25.0–31.2)36.6 (33.0–40.3)37.6 (34.9–40.5)
     West23.9 (21.8–26.2)25.2 (22.3–28.3)20.4 (17.3–23.8)19.8 (17.4–22.5)
    Any psychotherapy visits5.2 (4.9–5.4)40.8 (38.3–43.3)20.7 (19.5–21.8)
     Psychotherapy visits (Median [IQR])0 [0, 0]6 [2, 16]0 [0, 5]0 [0, 0]
    Any psychiatry visits3.6 (3.4–3.8)28.2 (26.3–30.2)21.2 (20.0–22.5)
     Psychiatry visits (Median [IQR])0 [0, 0]0 [0, 1]3 [1, 5]0 [0, 0]
    Antidepressant/antipsychotic medication11.2 (10.8–11.6)44.6 (42.4–46.9)66.0 (63.7–68.3)

    • Abbreviation: IQR, interquartile range; CI, confidence interval.

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